Background: Confronted to the increasing suicide rate in children, clinicians have to better understand and predict suicide-related behaviours (SRBs) in children with and without depressive symptoms. Aims: To investig...Background: Confronted to the increasing suicide rate in children, clinicians have to better understand and predict suicide-related behaviours (SRBs) in children with and without depressive symptoms. Aims: To investigate associations among suicidal tendencies (thoughts and/or attempts), depression and children’s perceptions of subjective quality of life. Methods: This was a cross-sectional study of 157 children of 6 - 13-year-old. Results: Children who attempted or thought of suicide reported goodless subjective quality of life than nonsuicidal children did, and children who thought of or attempted suicide reported higher levels of depressive symptoms than nonsuicidal children. Limitations: A more rigorous approach to investigating suicidal ideation and depressive symptomatology as a diagnostic interview based on the DSM-IV-TR will be valuable to future progress in understanding children’s suicidality. Conclusions: Results may reflect the confirmation of depressive symptoms as risk factors for suicidality and underline the high importance of social and emotional life context among suicidal children. For this reason, more effective recognition and comprehension of the underlying affective and social conditions of children with suicidality have special importance to prevent future suicidal behaviour during adolescence.展开更多
AIMTo verify how malnutrition is related to health-related quality of life (HRQL) impairment in patients with cirrhosis. METHODSData was retrospectively abstracted from medical records and obtained by direct interview...AIMTo verify how malnutrition is related to health-related quality of life (HRQL) impairment in patients with cirrhosis. METHODSData was retrospectively abstracted from medical records and obtained by direct interview. We included patients with cirrhosis from any etiology, evaluated at the Liver Clinic from Gastroenterology Department in a tertiary healthcare center, from June 2014 to June 2016. Child-Pugh score, data about complications, and demographic, clinical and anthropometric characteristics of patients were obtained. Nutritional status was evaluated by the Subjective Global Assessment (SGA). HRQL was evaluated through the Chronic Liver Disease Questionnaire. Patients were requested to assess their global HRQL with the following code: 0 = impairment of HRQL, when it was compared with other healthy subjects; 1 = good HRQL, if it was similar to the quality of life of other healthy subjects. To compare the primary outcome between malnourished and well-nourished groups, the χ<sup>2</sup> test, Fisher’s exact test or Student’s t-test were used, based on the variable type. Associations between predictor variables and deterioration of HRQL were determined by calculating the hazard ratio and 95% confidence interval using Cox proportional hazards regression. RESULTSA total of 127 patients with cirrhosis were included, and the mean age was 54.1 ± 12.3 years-old. According to Child-Pugh scoring, 25 (19.7%) were classified as A (compensated), 76 (59.8%) as B, and 26 (20.5%) as C (B/C = decompensated). According to SGA, 58 (45.7%) patients were classified as well-nourished. Sixty-nine patients identified HRQL as good, and 76 patients (59.8%) perceived impairment of their HRQL. Multivariate analysis to determine associations between predictor variables and self-perception of an impairment of HRQL found strong association with malnutrition (P P CONCLUSIONMalnutrition is a key factor related to impairment of HRQL in patients with cirrhosis.展开更多
目的探究基于个案管理模式的渐进性康复护理应用于全面性发育迟缓患儿中的临床效果。方法回顾性分析2022年2—12月厦门市妇幼保健院100例全面性发育迟缓患儿临床资料,按编号单双数将其分为对照组(50例)和研究组(50例)。对照组给予常规...目的探究基于个案管理模式的渐进性康复护理应用于全面性发育迟缓患儿中的临床效果。方法回顾性分析2022年2—12月厦门市妇幼保健院100例全面性发育迟缓患儿临床资料,按编号单双数将其分为对照组(50例)和研究组(50例)。对照组给予常规康复护理,研究组实施个案管理模式的渐进性康复护理。对比两组发育商指标、活动能力指标以及儿童生活质量普适性核心评定量表(universal core rating scale for children’s quality of life,PedsQL^(TM)4.0)评分情况。结果干预后,研究组的发育商指标言语功能、精细运动及粗大运动的评分高于对照组(P<0.05);研究组的日常活动能力及口脸活动能力指标评分高于对照组(P<0.05);研究组PedsQL^(TM)4.0评分高于对照组(P<0.05)。结论基于个案管理模式的渐进性康复护理应用于全面性发育迟缓患儿中能有效改善发育商,提升活动能力,提高生活质量。展开更多
文摘Background: Confronted to the increasing suicide rate in children, clinicians have to better understand and predict suicide-related behaviours (SRBs) in children with and without depressive symptoms. Aims: To investigate associations among suicidal tendencies (thoughts and/or attempts), depression and children’s perceptions of subjective quality of life. Methods: This was a cross-sectional study of 157 children of 6 - 13-year-old. Results: Children who attempted or thought of suicide reported goodless subjective quality of life than nonsuicidal children did, and children who thought of or attempted suicide reported higher levels of depressive symptoms than nonsuicidal children. Limitations: A more rigorous approach to investigating suicidal ideation and depressive symptomatology as a diagnostic interview based on the DSM-IV-TR will be valuable to future progress in understanding children’s suicidality. Conclusions: Results may reflect the confirmation of depressive symptoms as risk factors for suicidality and underline the high importance of social and emotional life context among suicidal children. For this reason, more effective recognition and comprehension of the underlying affective and social conditions of children with suicidality have special importance to prevent future suicidal behaviour during adolescence.
文摘AIMTo verify how malnutrition is related to health-related quality of life (HRQL) impairment in patients with cirrhosis. METHODSData was retrospectively abstracted from medical records and obtained by direct interview. We included patients with cirrhosis from any etiology, evaluated at the Liver Clinic from Gastroenterology Department in a tertiary healthcare center, from June 2014 to June 2016. Child-Pugh score, data about complications, and demographic, clinical and anthropometric characteristics of patients were obtained. Nutritional status was evaluated by the Subjective Global Assessment (SGA). HRQL was evaluated through the Chronic Liver Disease Questionnaire. Patients were requested to assess their global HRQL with the following code: 0 = impairment of HRQL, when it was compared with other healthy subjects; 1 = good HRQL, if it was similar to the quality of life of other healthy subjects. To compare the primary outcome between malnourished and well-nourished groups, the χ<sup>2</sup> test, Fisher’s exact test or Student’s t-test were used, based on the variable type. Associations between predictor variables and deterioration of HRQL were determined by calculating the hazard ratio and 95% confidence interval using Cox proportional hazards regression. RESULTSA total of 127 patients with cirrhosis were included, and the mean age was 54.1 ± 12.3 years-old. According to Child-Pugh scoring, 25 (19.7%) were classified as A (compensated), 76 (59.8%) as B, and 26 (20.5%) as C (B/C = decompensated). According to SGA, 58 (45.7%) patients were classified as well-nourished. Sixty-nine patients identified HRQL as good, and 76 patients (59.8%) perceived impairment of their HRQL. Multivariate analysis to determine associations between predictor variables and self-perception of an impairment of HRQL found strong association with malnutrition (P P CONCLUSIONMalnutrition is a key factor related to impairment of HRQL in patients with cirrhosis.
文摘目的:探讨术中神经监测(intraoperative neuromonitoring,IONM)对分化型甲状腺癌(differentiated thyroid carcinoma,DTC)患者主观语音结局的影响。方法:回顾性分析从2018年9月—2019年3月在中山大学第一附属医院接受甲状腺手术的DTC患者,分为IONM组和非IONM组,采用倾向评分匹配法(propensity score matching,PSM),比较两组患者的临床基线特征和术后主观语音结果。结果:在预防性中央区淋巴结清扫亚组中,两组患者术后1个月、6个月的声音障碍指数⁃10(voice handi⁃cap index⁃10,VHI⁃10)总分及甲状腺癌特异性生活质量(thyroid cancer specific quality of life,THYCA⁃QoL)问卷的声音领域均无统计学差异(P>0.05)。在靠近或侵犯后包膜亚组中,IONM组术后1个月、6个月的THYCA⁃QoL问卷中的声音领域评分中位数(四分位数)均为0.00(0.00,0.00),低于非IONM组的0.00(0.00,33.33),差异有统计学意义(P=0.034)。均值均为5.73,明显低于非IONM组的15.66(P=0.029)。VHI⁃10问卷两组差异无统计学意义。结论:IONM对DTC患者及预防性中央区淋巴结清扫术亚组患者的主观发声障碍没有显著影响,但可明显改善靠近后包膜高危组患者术后主观声音异常。
文摘目的探究基于个案管理模式的渐进性康复护理应用于全面性发育迟缓患儿中的临床效果。方法回顾性分析2022年2—12月厦门市妇幼保健院100例全面性发育迟缓患儿临床资料,按编号单双数将其分为对照组(50例)和研究组(50例)。对照组给予常规康复护理,研究组实施个案管理模式的渐进性康复护理。对比两组发育商指标、活动能力指标以及儿童生活质量普适性核心评定量表(universal core rating scale for children’s quality of life,PedsQL^(TM)4.0)评分情况。结果干预后,研究组的发育商指标言语功能、精细运动及粗大运动的评分高于对照组(P<0.05);研究组的日常活动能力及口脸活动能力指标评分高于对照组(P<0.05);研究组PedsQL^(TM)4.0评分高于对照组(P<0.05)。结论基于个案管理模式的渐进性康复护理应用于全面性发育迟缓患儿中能有效改善发育商,提升活动能力,提高生活质量。
